Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Patricia Fogelman (NPI 1841294808)

Field	Value
Entity Type	Individual
Organization	Patricia Fogelman
Address	235 Wellness Way
City	State College
State	PA
ZIP	16803
Taxonomy	Nurse Practitioner
NPI Enumerated	June 8, 2005

Payer Source	Total Paid
Medicare	$30.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$110	$10.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	150	$50	$7.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$80	$5.9K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	100	$50	$4.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$90	$1.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$50	$780
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	40	$20	$720

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Patricia Fogelman — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	3,105	6,630	70	$90	$12K
99232	10,464	10,870	80	$60	$9.6K
99223	1,253	7,020	40	$130	$7.8K
99222	6,264	7,850	30	$100	$4.3K
99497	98	920	40	$60	$4K
G0316	72	140	40	$20	$1.8K
99498	4	90	20	$50	$1.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Patricia Fogelman, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Lin	PA	Family Medicine Physician	$127.1K	$2.4M
Nicholas Dzebolo	CA	Interventional Cardiology Physician	$2.2M	$170
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Aderonke Ajala	PA	Hematology & Oncology Physician	$815.9K	$860
Daniel Cason	MD	Diagnostic Radiology Physician	$614.6K	$0
Assen Todorov	MD	Diagnostic Radiology Physician	$607.9K	$0
Andrew Vennos	MD	Vascular & Interventional Radiology Physician	$604.4K	$0
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K

Nearby Providers

Other providers in the same ZIP code as Patricia Fogelman, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Oppermann	PA	Rheumatology Physician	$514.7K	$3.6K
Ariel Morsey	PA	Adult Health Nurse Practitioner	$330.9K	$0
Stacy Emile	PA	Family Medicine Physician	$324.7K	$0
Brian Spencer	PA	Orthopaedic Surgery Physician	$271.6K	$320
Mary Jacobs	PA	MOHS-Micrographic Surgery Physician	$226.3K	$0
Veeral Patel	PA	Radiation Oncology Physician	$156.9K	$0
Laurie Brigandi	PA	Otolaryngology Physician	$113.5K	$0
Eric Emanski	PA	Orthopaedic Surgery of the Spine Physician	$103.2K	$0
Leslie Mcdougall	PA	Neurology Physician	$97.8K	$0
Christopher Jones	PA	Interventional Cardiology Physician	$97K	$0

Patricia Fogelman — Billing Profile & Reimbursement Data

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Patricia Fogelman — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References